Monthly Program
$575/
Month*first 3 months
- Initial Visit 1.0 hours (1)
- Program medications (Semaglutide or credit) (3)
- 2 x 30 minute visits per month (ND/PA)
- Visits with Medical Director $225 (30 min)
- Lumen device available for $250
Quarterly Program
$2175/
Quarter*first 3 months
- Initial Visit 1.5 hours
- Program medications (Semaglutide or credit) (3)
- Weekly visits first month, bi-weekly visits last 2 months ND/PA
- 1 x 30 minute visit with Physician included
- Free Lumen device with 6 months service included at no cost
Semaglutide
In an early study of 2,000 obese adults compared people using semaglutide plus a diet and exercise program with people who made the same lifestyle changes without semaglutide. After 68 weeks, half of the participants using semaglutide lost 15% of their body weight, and nearly a third lost 20%.
Another study with similar results
Lumen device/total metabolism tracking
The Lumen device measures carb and fat burn using a highly validated test of CO2 that is detected when patient breathes into the device. This has been validated to closely approximate real metabolism. Patients just need to breathe into the device daily to get helpful recommendations and better understand how their body burns fat.
Follow our personalized program to achieve the most Fat loss using safe and effective medications and Program therapies
Schedule of health coach visits for 12-week program (8 visits)
Visit 1
Discussion of body composition and patient goals.
Encourage patient to come to the office for bi-weekly visits if geographically feasible. Discuss role of Lumen device in terms of metabolism tracking.
Action: Advise patient to keep food diary for next week and to use the Lumen device daily.
Visit 2
Discuss food diary and make appropriate suggestions for improvement
Focusing on total caloric intake and healthy eating. Go deep here as much as time allows. Have to set the foundation for healthy eating. Explain that we do not recommend "dieting". Goal is to change our eating to a healthy eating that can be maintained well after program is over.
Action: Ask patient to keep diary of exercise for next week. If possible suggest they get an activity tracker for more accurate tracking.
Visit 3
Discuss exercise pattern from prior week and make appropriate recommendations.
Focus on anaerobic exercise for at least 30 minutes 4-5 times per week. Aerobic should be on top of this but if they only have time for one or the other, then advise anaerobic.
Action: Advise patient to get new body composition prior to next week's visit.
Visit 4
Discuss progress/lack of progress vs week 1 baseline if we have a new body composition.
Keep in mind that they are in the building stage of the medication, so we are not expecting a lot of fat loss at this point. 3-4 lbs of fat loss in the first month would be considered a success. Many patients with 75-100 lbs to lose report losing up to 25 lbs in first month. Ascertain if patient has been compliant with dietary and exercise recommendations and medication adherence.
Action: If there has been no fat loss or even fat gain, then need to discuss the case with medical director for possible additional interventions. Advise patient to track sleep for next week preferably with sleep tracking device but if not, then just manual tracking (time to bed, time waking up, how many times did they awake for the night, sleep hygiene questions.)
Medical Director Visit
Medical Director Visit
Points to consider seeking to uncover reasons for weight loss resistance. Review initial labwork looking for sub-optimal areas that could be impacting weight loss as well as sleep quality.
- Food sensitivity testing
- Micronutrient testing
- Nutrigen testing
- Sleep tracking - depending on whether weight loss is going as expected and how they answer questions about sleep.
Action: Medical director to advise what they feel is the biggest problem area(s) that require focused attention.
Visit 5
Focus of this visit is based on your assessment of biggest problem area(s).
From areas below, spend the time reinforcing needed behavior in 1-2 of the most problematic areas.
- Diet/Nutrition (appetite suppressant), Exercise, Medication compliance, Sleep, Low IGF-1 (GHRH therapy), GI issues - GI testing, Other metabolic issues
Visit 6
Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)
Visit 7
Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)
Visit 8
Assess progress vs Week 4 and baseline and make recommendations for another round or other continued intervention.
From areas below, spend the time reinforcing needed behavior in 1-2 of the most problematic areas.
- If patient ends on 1 mg Semaglutide, they can upgrade to 2mg for additional $425, total cost of $2600 for 12 weeks
- If patient wants to switch to Tirzepatide @ 5 mg, upcharge is $830, total cost for $3005 for 12 weeks.
- If they are close to meeting weight loss goals, then make age dependent recommendations for continued therapy
How to get started?
- Enroll online at https://pwc.myemedfusion.com/Newpatient.aspx
- When complete, PWC will prepared an individualized lab order
- Take lab order to Quest Diagnostics/Labcorp for insurance coverage
- When lab results are back, meet with Weight loss Program Coordinator
- Get Started - order meds - monitor - and lose weight!
Request a Consultation
Arrange your free consultation with one of our accountants or advisors
Latest News Near Leesburg, VA
‘It’s just a place that they feel welcome’: SimplyBe Coffee in Leesburg is a coffee shop with a cause
Neal Augensteinhttps://wtop.com/loudoun-county/2025/09/its-just-a-place-that-they-feel-welcome-simplybe-coffee-in-leesburg-is-coffee-shop-with-a-cause/
This story is part of WTOP’s Small Business September coverage. Each week, WTOP will be highlighting small businesses across the D.C. region, along with financial, government and other organizations that help our small business community thrive.If you ask what’s in a “dirty chai latte” at SimplyBe Coffee, in downtown Leesburg, Virginia, Ami would be glad to tell you and prepare your drink for you.“We put chai, and milk, and espresso,” said Ami, taking a break from wo...
This story is part of WTOP’s Small Business September coverage. Each week, WTOP will be highlighting small businesses across the D.C. region, along with financial, government and other organizations that help our small business community thrive.
If you ask what’s in a “dirty chai latte” at SimplyBe Coffee, in downtown Leesburg, Virginia, Ami would be glad to tell you and prepare your drink for you.
“We put chai, and milk, and espresso,” said Ami, taking a break from working behind the counter at the brightly colored cafe, built in a historic house located on 208 Church St. SE, in Leesburg.
With comfortable seating, in what used to be a living room, children’s play areas and books nearby, this coffeehouse has a homey vibe.
“SimplyBe is a coffee shop that’s primary mission is to employ individuals with disabilities,” said Susannah Lee, CEO of Tree of Life Ministries. The registered 501(c)(3) nonprofit organization also operates The Clothing Closet, a boutique thrift shop that provides new and gently used clothing to the public, and free clothing to those in need through a voucher program.
Lee said in 2024, 32 people — 17 employees, five volunteers, and 10 high school work transition students — worked at the shop.
“We bring them on board, we show them how to make coffee, we show them how to treat our customers, and how to clean the shop,” said Lee.
Ami is one of the employees.
“I say welcome. I take orders to make drinks,” she said.
Asked what drinks customers seem to prefer? “They like chai latte,” Ami said.
Manager Cheryl June said employees come to work with a variety of skill levels, and special needs.
“We have tasks suitable for everybody that works here, and they’re always guided along the way,” June said.
Lee said customer service is important at SimplyBe.
“First and foremost, we want to make sure that our customers, anyone who walks in the door, feels very welcome and understands our mission,” she said
Some employees work several shifts a week, while others work just once or twice a week.
“It’s just a place that they feel welcome, they feel loved,” said Lee. “Our customers truly understand our mission — they find out about us, and they come here just for that purpose.”
The nonprofit will be opening a second location this year in Purcellville.
“SimplyBe, as we’ve grown as a brand in the community, it’s been a place that a lot of people desire to work, or volunteer at,” said Lee.
“When you walk into any coffee shop in Leesburg or Loudoun County, everybody has a cup of coffee,” said Lee. “But with our mission, with our purpose, and the joy of the individuals that serve us, it just makes it a special place.”
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